Individual
MICHEAL AGBAJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1135 E NORTH AVE, BELTON, MO 64012-5105
(816) 331-9111
Mailing address
PO BOX 320, BELTON, MO 64012-0320
(816) 331-9111
(816) 348-0492
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
121970
IA
Other
Enumeration date
12/14/2023
Last updated
01/29/2024
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